Individual
JASON LIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 W JOHN ST LOWR LEVEL, HICKSVILLE, NY 11801-1045
(516) 935-2067
(516) 935-2017
Mailing address
9313 ELDERT LN, WOODHAVEN, NY 11421-2836
(718) 913-6837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029668
NY
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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